To minimize environmental factors
that create health risks and illnesses.

To promote personal and community responsibility in maintaining a healthy lifestyle
in both public and private arenas that minimizes damage to non-human parts of the
ecosystem.

To promote adequate health care access for all.

To create an environment for community members which maximizes their physical, spiritual,
mental, and emotional health and well-being.

To ensure broad access to family planning information and techniques, which not only
maintains the integrity of individual families but protects the environment through
minimized human population numbers.

To minimize environmental factors that create
health risks and illnesses.

To promote personal and community responsibility in maintaining a healthy lifestyle
in both public and private arenas that minimizes damage to non-human parts of the
ecosystem.

To promote adequate health care access for all.

To create an environment for community members which maximizes their physical, spiritual,
mental, and emotional health and well-being.

To ensure broad access to family planning information and techniques, which not only
maintains the integrity of individual families but protects the environment through
minimized human population numbers.

1-C. Transportation barriers to health care access
have been minimized.

1-D. Access to alternative forms of medical treatment,
such as acupuncture, nutritional therapy, chiropractic, traditional Chinese medicine,
herbal medicine and other traditional treatments exists for all community members.

1-E. Health care resources and providers are equitably
distributed throughout the City.

1-F. The number of uninsured has been decreased
to zero.

5-year objectives

1-1. The number of signs in multiple languages
at city health facilities has increased.

1-2. A diverse population of health-care professionals
that reflects the community they serve has been recruited.

1-3. Financial barriers to clinical preventive
services have been eliminated (through improvements in financing and delivery of
screening, counseling, and immunization services).

1-4. Access to mental health services has been
improved:

Publicly-funded hospital days for mental illness
has been reduced to 210 days per 1,000 persons.

No less than 15% of persons eligible for public
mental health services receive non-hospital services.

The rate of involuntary detentions of mentally
ill persons in danger to self or others or gravely disabled will not exceed 12 detentions
per 1,000 persons.

1-5. The proportion of all pregnant women who receive
prenatal care in the first trimester has increased to 90%. (SF = 79; CA 75)

1-6. The proportion of low-birth-weight infants
has been reduced to no more than 5% of live births. (SF = 7, CA = 6)

1-7. Infant mortality in all segments of the community
has been reduced to no more than 7 per 1000 live births. (SF = 7, with a range of
5-16)

(The conditions described in items 1-6 and 1-7
are usually the result of inadequate prenatal care.)

1-8. At least 80% of Medi-Cal and low-income (up
to 200% of poverty) children receive periodic well exams as defined by Federal/State
Early Periodic Screening Diagnosis and Treatment (EPSDT) guidelines.

1-9. Access to alternative forms of medical treatment
has been greatly increased.

actions

1-a. Establish an ongoing, neighborhood-based health
“circle” (incorporating the views of all interested local residents, non-governmental
organizations, public agencies, and businesses) to identify significant health problems,
prescribe corrective measures, and set up a timetable for achieving goals.

1-b. Ensure that health care providers reflect
the population served by:

Increasing internship opportunities at health
care facilities, in recruitment and in hiring; and

Establishhiring policies that result in
staffs that reflect the population served.(Suggested for health-care providers)

1-c. Expand education about and respect for nuances
of diverse cultural practices, customs, and beliefs.(Suggested for health-care providers)

1-d. Provide interpreters and public information
material in different languages. (Suggested for health care providers and public educators)

1-e. Provide public advocacy and ombudsman services
for those who do not have access to such services.

1-f. Enforce the standards set out in the Americans
with Disabilities Act for building accessibility at health-care facilities.

1-g. Publish pamphlets of all existing medical
transportation services, rates, and time-schedules, including Muni wheelchair routes
and time schedules.

2-2. Hospitalizations due to asthma have been reduced
to no more than 160 per 100,000 people. (SF = 178) (Asthma itself is not generally
preventable, but with proper care, hospitalization is rarely necessary.)

2-3. Basic immunization among children under two years of age has increased to at
least 90%. (SF = 49%; CA = 49%)

2-4. The number of births to adolescents has
been reduced in all segments of San Francisco’s population to no more than 50 per
1,000 adolescents. (SF: Range is from 11 to 94 depending on year and ethnic/racial
group.)

2-5. There is a greater understanding among
local government, residents, non-governmental organizations and businesses about
the new medical field of clinical ecology, which seeks to reduce or eliminate food
allergies and chemical sensitivities (particularly common among urban residents)
that are specifically linked to chemical pollution and degradation of food and increased
environmental stresses.

actions

2-a. Establish more diagnostic testing clinics,
public education campaigns, and “healthy neighborhood” fairs, for all the City’s
communities.

2-c. Educate the community on disease-prevention
and wellness-promotion practices.

2-d. Offer and promote preventive health classes,
programs and practices for members and non-members. (Suggested for health insurance
companies and health-maintenance organizations)

2-e. Increase access to educational programs addressing
nutrition, exercise, and stress by extending program hours, providing more classes
in more neighborhoods, increasing the safety of facilities, and increasing the diversity
of programs.

2-f. Prevent falls among seniors through education
of medical providers, senior agencies and seniors themselves on ways to make the
home safer.

2-g. Set up an incentive program for vaccinations.

2-h. Expand the capacity and services of family
shelters.

2-i. Expand the amount of readily accessible family
planning education and support.

3-A. Injury and illness due to environmental factors
in all neighborhoods has been reduced to zero.

3-B. Air, water and soil pollution are negligible.
[For additional information, please see the Air Quality, Water and Wastewater,
and Hazardous Materials sections.]

3-C. San Francisco parks and recreational facilities
are safe and attractive.

3-D. Stress and ill-health caused by particulants
produced by industry have been minimized.

3-E. Hazardous waste sites have been cleaned up
and new discharges eliminated.

5-year

3-1. Historical and existing environmental contamination
has been identified.

3-2. Children’s risk from environmental lead
has been reduced:

The prevalence of blood lead levels exceeding
15 micrograms per deciliter and 25 micrograms per deciliter and 25 micrograms per
deciliter among children aged 6 months to 5 years has been reduced to no more than
500,000 and zero, respectively.

High-risk lead-exposure neighborhoods and populations
have been identified.

The number of children aged 6 months to 5 years
receiving lead screening and counseling within high-risk neighborhoods and populations
has increased.

3-3. The percentage of children who have blood
levels of lead greater than 15 micrograms per deciliter has been reduced to zero.
(SF = 4%)

3-4. San Francisco’s score on the report card issued
by Coleman Advocates for Youth has been increased from C- (1996) to B or better.
(The report card is an assessment of conditions in 45 of the City’s 150 parks.)

actions

3-a. Ensure that there is a current assessment
of all contaminated sites in the city.